Diego Giustozzi Futsal Player Camp, Friday July 5th, 10am-3:30pm

Please wear appropriate FUTSAL or INDOOR SOCCER shoes. Please bring a personal water supply and bring a snack and or lunch which will be held from 12:30pm-1pm.

GENDER

CITY

STATE

DATE OF BIRTH

Age Group by DOB:Select Month/Day/Year

Cell Phone

SHIRT SIZE

Player Type:

Emergency Contact

Emergency #

Comments, include allergies, medical needs, etc.

Approvals

CRITICAL NOTICE- Double-check the name of the
player and the date of birth (DOB) above to confirm they are input correctly or
the USYF registration will not be valid. Also, if the player has already
registered and paid the USYF player registration fee in the current year
(8/1/2017 – 7/31/2018), to avoid having to pay again, you must enter the player
information exactly as
it was input the first time the player was input and paid for the current
year. Changing the player name or DOB from the previous registration will
cause the system to recognize the player as a new player and will charge the
fee again

6/22/2015

Please be sure to indicate that your child is a field player OR a goalkeeper.

CONTACT INFORMATION

GUARDIAN #1

Same as player

STATE

ZIPCODE

1 of the 3 phone numbers below must be filled in

HOME

WORK

CELL

PREFERENCE

Home Work Cell

I would like to volunteer

CoachAssist. CoachField MarshallRefereeTeam Manager

GUARDIAN #2 (optional)

Same as player

STATE

ZIPCODE

1 of the 3 phone numbers below must be filled in

HOME

WORK

CELL

PREFERENCE

HomeWorkCell

I would like to volunteer

CoachAssist. CoachField MarshallRefereeTeam Manager

Refund Policy

Thank you for registering for one of the Futsal ID Prep Camps. You may cancel your registration before the registration deadline and receive a refund of your fees minus a $25 administrative fee. After the registration deadline, no refunds will be given.